Lumbar Radiculopathy

Low Back: Article by Fritz and Kelly demonstrated literature review of how to differentiate low back pain between musculoskeletal and non-musculoskeletal sources. The patient demonstrated with red flag signs and symptoms that lead the therapists to believe it could be a non-musculoskeletal problem. They discovered that bilateral leg symptoms and spinal deformity is a possible indication of spinal neoplasm. The patient presented with both of these symptoms along with insidious onset of pain. A clinical decision was made to refer the patient to receive an MRI. The MRI ruled out a spinal neoplasm, but did show a grade 2 spondylothesis.

There are three different types of musculoskeletal disorders that effect the spinal column: Lordosis, Kyphosis, and Scoliosis. Scoliosis effects the largest amount of people and also effects the widest range of ages. There are three different types of scoliosis and they are categorized by the age at which the deformity developed. Infantile scoliosis develops from birth to 4 years old, juvenile scoliosis develops from 4 to 9 years old, and adolescent scoliosis develops from 10 to 18 years. Scoliosis is most commonly developed in the adolescent stage, it compromises approximately 80 percent of all scoliosis cases (Baaj, 2017). Any

It impacts the piriformis muscle. This muscle is located in the buttock area. Tightness and pain in the buttocks is common with this condition. Spasms of this muscle can cause pain in the sciatic nerve. The sciatic nerve can cause pain from the lower back down to the leg area. It can also cause the leg to feel numb. It can be quite painful. It can also be debilitating. It's difficult to get even simple things done when

Robert Trinh is a 34 year-old senior truck driver referred to your outpatient physical therapy office for “chronic low back pain” which started 7 months ago. He was lifting a particularly heavy load that day and felt something “tweaked” in his low back as he was bent over and moving the load from the truck into the sidewalk. He remembered being in a bent over posture and cannot straighten up for about 2 weeks and the posture gradually resolved. Current pain level is 8/10 with sharp burning sensation in the low back (P1= symptom location #1) that radiates down to the posterolateral right lower leg (P2= symptom location #2). The entire right lower leg also feels tingling often. Robert reports that the right lower leg can feel very sensitive at

Sciatic nerve pain is very challenging to treat as it's a warning sign of any cause. Thus it is significant to recognize what causes it in order that it

11/13/14 MRI of the lumbar spine showed 4mm left paracentral and foraminal disc protrusion at L4-5, which mildly impinges upon the thecal sac and the proximal left L5 nerve root. The disc protrusion also moderately narrows the left foramen and lateral recess. There was also a 2mm posterior central disc protrusion at L5-S1. A 2mm disc bulge at L2-3 was seen. There was a mild degenerative facet and ligament flava hypertrophy at L4-5 and

Sciatica typically occurs in the lower back and extremities. The most common cause is from a lumbar herniated discs pressuring the scatiac nerve, which causes pain and inflammation. In addition to this, pinched nerves and back injuries also result in sciatica. Since sciatica is a symptom of a larger health problem, chiropractic practitioners carefully diagnose through standard medical diagnostic imaging, such as CTs and MRIs. One of the benefits of using chiropracticare to treat sciatica is that surgery can be avoided. Keep in mind that microdiscectomy spine surgery is the most common treatment method for umbar herniated

Per the medical report dated 08/12/16 by Dr. Gunderson, the patient had neck pain, as well as headaches, dizziness and blurred vision. The neck pain radiated into both shoulders, but more so on the right, and occasionally she had tingling in her upper extremities. She described the neck pain as severe and intermittent, and not related to any specific activity, and relieved with massage. The pain in her lower back was in the beltline and radiated into both lower extremities, more so on the left. She described the pain as moderately severe and constant, and not related to any activity, and only relieved with nerve medicines. On examination, the patient had tenderness in the lower cervical region about C5 to C7. Range of motion of her neck was 75% of normal. Motor, sensory, and reflex examinations in the upper extremities were normal. On examination of the lumbar spine, the patient could dress and undress without difficulty. She had a bent forward posture and gait. She had reduced lumbar motion and with maximum forward flexion, her fingertips were 12 inches from the floor. Lateral flexion was 50% of normal, and she had no active extension in the lumbar spine. Motor, sensory, and reflex examinations in the lower extremities were normal. There was paravertebral tenderness about L4-5 bilaterally, as well as in both sacroiliac and sciatic notch regions. Straight leg caused hip and thigh pain at 50 degrees bilaterally. Of note, X-rays of the cervical spine demonstrated disc degeneration at C5-6. X-rays of the lumbar spine were normal. Patient sustained

Sciatica is not actually a diagnosis in its own right—it is only the manifestation of an underlying medical condition. These symptoms occur when the sciatic nerve—an extremely long nerve which originates in the lower back and continues down through the buttocks and the backs of the legs—is irritated or pinched. The pinch is

The patient rejected the invasive nature of treatment protocols and opted for continuation of nonoperative treatment under conservative chiropractic management. The patient primarily complains of lumbosacral spinal pain at the right sacroiliac joint radiating into

Sciatica is a problem that originates in the lower back and travels through the large sciatic nerves located in each leg. The pain caused by sciatica can include weakness, tingling, and numbness, and travels throughout the lower back, through the buttocks, and into the legs. Pain caused by sciatica can be consistent and even debilitating, and the pain can become greater when seated. If symptoms continue that can deteriorate further, even to the point of it becoming hard to stand and walk. Any leg pain that can be described as tingling, searing, or burning, can be attributed to sciatica. Pain may also be consistent throughout only one of the legs.

In the summer between my sophomore and junior year, I had started to feel agonizing pain in my lower back. After seeing a specialist and going over the MRI, I was diagnosed with Lumbosacral Disc Disorder with Radiculopathy. Overall, the MRI revealed lumbar degeneration and congenital abnormalities of the lumbar spine with spondylolisthesis and instability. The problem causes low back pain with left leg weakness and numbness. The congenital abnormality of my spine was there since birth which is very rare; however, I do not have the most severe case compared to other people diagnosed with the same problem.

On examination of the lumbar spine, there is mild paraspial lumbar muscle tenderness to deep palpation. There is a questionable facet joint tenderness to deep palpation.

What is lumbosacral neuritis? These are nerves that are in the lower spine, specifically In the lumbar region. The nerves become inflamed and irritated, from picking up heavy objects and also twisting. The (5) vertebra affected are L1 throughL5 and the large bone at the base of the spine is the sacrum which connects the spinal column to the pelvis.

Scoliosis is a complex deformity or curvature of the spine and entire torso and has been recognized clinically for centuries (Asher, Marc A.). “For a few of the patients an underlying cause can be determined, including congenital changes, secondary changes related to neuropathic or myopathic conditions, or later in life from degenerative spondylosis. However, the cause of most scoliosis is not known and since about 1922 such patients have been diagnosed as having idiopathic scoliosis (Asher, Marc A.).”